Photoplethysmography-based algorithm for detection of cardiogenic output during cardiopulmonary resuscitation

IEEE Transactions on Biomedical Engineering

Volumn 62, Issue 3, 2015, Pages 909-921

  Wijshoff, Ralph W C G R ^a,b   Van Asten, Antoine M T M ^b   Peeters, Wouter H ^b   Bezemer, Rick ^b   Noordergraaf, Gerrit Jan ^c   Mischi, Massimo ^a   Aarts, Ronald M ^a,b  

^a EINDHOVEN UNIVERSITY OF TECHNOLOGY   (Netherlands)

^b PHILIPS RESEARCH LABORATORIES   (Netherlands)

^c Microvida Laboratory for Medical Microbiology and Immunology   (Netherlands)

Author keywords

Autoregressive (AR) model; cardiogenic output; cardiopulmonary resuscitation (CPR); harmonic model; least mean square (LMS); photoplethysmography (PPG); pulse rate (PR); return of spontaneous circulation (ROSC); spectral analysis; spontaneous pulse; trans thoracic impedance (TTI)

Indexed keywords

ALGORITHMS; BLOOD; COMPACTION; DATA COMPRESSION; HARMONIC ANALYSIS; HEMODYNAMICS; PHOTOPLETHYSMOGRAPHY; RESUSCITATION; SPECTRUM ANALYSIS;

AUTO REGRESSIVE MODELS; CARDIOGENIC OUTPUT; CARDIOPULMONARY RESUSCITATION; HARMONIC MODEL; LEAST MEAN SQUARE (LMS); PHOTOPLETHYSMOGRAPHY (PPG); PULSE RATE; RETURN OF SPONTANEOUS CIRCULATION (ROSC); SPONTANEOUS PULSE; THORACIC IMPEDANCES;

SIGNAL DETECTION;

ALGORITHM; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; BLOOD VOLUME; CAROTID ARTERY; COMPRESSION; DEFIBRILLATION; HEART ARREST; IMPEDANCE; LUNG VENTILATION; NONHUMAN; PHOTOELECTRIC PLETHYSMOGRAPHY; PULSE RATE; RESUSCITATION; RETURN OF SPONTANEOUS CIRCULATION; WAVEFORM; ANIMAL; BIOLOGICAL MODEL; HEART OUTPUT; HEART RATE; PHYSIOLOGY; PIG; PROCEDURES; SIGNAL PROCESSING;

ALGORITHMS; ANIMALS; CARDIAC OUTPUT; CARDIOPULMONARY RESUSCITATION; HEART RATE; MODELS, CARDIOVASCULAR; PHOTOPLETHYSMOGRAPHY; SIGNAL PROCESSING, COMPUTER-ASSISTED; SWINE;

EID: 84923935739     PISSN: 00189294     EISSN: 15582531     Source Type: Journal    
DOI: 10.1109/TBME.2014.2370649     Document Type: Article

References (41)

1. J. P. Nolan, "High-quality cardiopulmonary resuscitation," Curr. Opin. Crit. Care, vol. 20, no. 3, pp. 227-233, Jun. 2014.
2. R. W. Neumar, C. W. Otto, M. S. Link, S. L. Kronick, M. Shuster, C. W. Callaway, P. J. Kudenchuk, J. P. Ornato, B. McNally, S. M. Silvers, R. S. Passman, R. D. White, E. P. Hess, W. Tang, D. Davis, E. Sinz, and L. J. Morrison, "Part 8: Adult advanced cardiovascular life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care," Circulation, vol. 122, no. 18 Suppl 3, pp. S729-S767, Nov. 2010.
3. C. D. Deakin, J. P. Nolan, J. Soar, K. Sunde, R. W. Koster, G. B. Smith, and G. D. Perkins, "European resuscitation council guidelines for resuscitation 2010 Section 4. Adult advanced life support," Resuscitation, vol. 81, no. 10, pp. 1305-1352, Oct. 2010.
4. R. A. Berg, A. B. Sanders, K. B. Kern, R. W. Hilwig, J. W. Heidenreich, M. E. Porter, and G. A. Ewy, "Adverse hemodynamic effects of interrupting chest compressions for rescue breathing during cardiopulmonary resuscitation for ventricular fibrillation cardiac arrest," Circulation, vol. 104, no. 20, pp. 2465-2470, Nov. 2001.
5. J. Christenson, D. Andrusiek, S. Everson-Stewart, P. Kudenchuk, D. Hostler, J. Powell, C. W. Callaway, D. Bishop, C. Vaillancourt, D. Davis, T. P. Aufderheide, A. Idris, J. A. Stouffer, I. Stiell, and R. Berg, "Chest compression fraction determines survival in patients with out-of-hospital ventricular fibrillation," Circulation, vol. 120, no. 13, pp. 1241-1247, Sep. 2009.
6. B. Eberle, W. F. Dick, T. Schneider, G. Wisser, S. Doetsch, and I. Tzanova, "Checking the carotid pulse check: Diagnostic accuracy of first responders in patients with and without a pulse," Resuscitation, vol. 33, no. 2, pp. 107-116, Dec. 1996.
7. J. Tibballs and P. Russell, "Reliability of pulse palpation by healthcare personnel to diagnose paediatric cardiac arrest," Resuscitation, vol. 80, no. 1, pp. 61-64, Jan. 2009.
8. 2) at the moment of return of spontaneous circulation," J. Emerg. Med., vol. 38, no. 5, pp. 614-621, Jun. 2010.
9. D. P. Davis, R. E. Sell, N. Wilkes, R. Sarno, R. D. Husa, E. M. Castillo, B. Lawrence, R. Fisher, C. Brainard, and J. V. Dunford, "Electrical and mechanical recovery of cardiac function following out-of-hospital cardiac arrest," Resuscitation, vol. 84, no. 1, pp. 25-30, Jan. 2013.
10. N. A. Paradis, G. B. Martin, E. P. Rivers, M. G. Goetting, T. J. Appleton, M. Feingold, and R. M. Nowak, "Coronary perfusion pressure and the return of spontaneous circulation in human cardiopulmonary resuscitation,"J. Amer. Med. Assoc., vol. 263, no. 8, pp. 1106-1113, Feb. 1990.
11. E. P. Rivers, J. Lozon, E. Enriquez, S. V. Havstad, G. B. Martin, C. A. Lewandowski, M. G. Goetting, J. A. Rosenberg, N. A. Paradis, and R. M. Nowak, "Simultaneous radial, femoral, and aortic arterial pressures during human cardiopulmonary resuscitation," Crit. Care Med., vol. 21, no. 6, pp. 878-883, Jun. 1993.
12. E. P. Rivers, G. B. Martin, H. Smithline, M. Y. Rady, C. H. Schultz, M. G. Goetting, T. J. Appleton, and R. M. Nowak, "The clinical implications of continuous central venous oxygen saturation during human CPR,"Ann. Emerg. Med., vol. 21, no. 9, pp. 1094-1101, Sep. 1992.
13. H. Losert, M. Risdal, F. Sterz, J. Nysaether, K. Köhler, T. Eftestøl, C. Wandaller, H. Myklebust, T. Uray, S. O. Aase, and A. N. Laggner, "Thoracic-impedance changes measured via defibrillator pads can monitor signs of circulation," Resuscitation, vol. 73, no. 2, pp. 221-228, May 2007.
14. M. Risdal, S. O. Aase, J. Kramer-Johansen, and T. Eftestøl, "Automatic identification of return of spontaneous circulation during cardiopulmonary resuscitation," IEEE Trans. Biomed. Eng., vol. 55, no. 1, pp. 60-68, Jan. 2008.
15. J. Ruiz, E. Alonso, E. Aramendi, J. Kramer-Johansen, T. Eftestøl, U. Ayala, and D. González-Otero, "Reliable extraction of the circulation component in the thoracic impedance measured by defibrillation pads," Resuscitation, vol. 84, no. 10, pp. 1345-1352, Oct. 2013.
16. A. Kämäräinen, M. Sainio, K. T. Olkkola, H. Huhtala, J. Tenhunen, and S. Hoppu, "Quality controlled manual chest compressions and cerebral oxygenation during in-hospital cardiac arrest," Resuscitation, vol. 83, no. 1, pp. 138-142, Jan. 2012.
17. S. Parnia, A. Nasir, C. Shah, R. Patel, A. Mani, and P. Richman, "A feasibility study evaluating the role of cerebral oximetry in predicting return of spontaneous circulation in cardiac arrest," Resuscitation, vol. 83, no. 8, pp. 982-985, Aug. 2012.
18. J. Allen, "Photoplethysmography and its application in clinical physiological measurement," Physiol. Meas., vol. 28, no. 3, pp. R1-R39, Mar. 2007.
19. A. Reisner, P. A. Shaltis, D. McCombie, and H. H. Asada, "Utility of the photoplethysmogram in circulatory monitoring," Anesthesiology, vol. 108, no. 5, pp. 950-958, May 2008.
20. R. W. C. G. R. Wijshoff, T. van der Sar, P. H. Peeters, R. Bezemer, P. Aelen, I. W. F. Paulussen, S. C. M. A. Ordelman, A. Venema, P. F. J. van Berkom, R. M. Aarts, P. H. Woerlee, G.-J. Scheffer, and G. J. Noordergraaf, "Detection of a spontaneous pulse in photoplethysmograms during automated cardiopulmonary resuscitation in a porcine model," Resuscitation, vol. 84, no. 11, pp. 1625-1632, Nov. 2013.
21. E. Aramendi, U. Ayala, U. Irusta, E. Alonso, T. Eftestøl, and J. Kramer-Johansen, "Suppression of the cardiopulmonary resuscitation artefacts using the instantaneous chest compression rate extracted from the thoracic impedance," Resuscitation, vol. 83, no. 6, pp. 692-698, Jun. 2012.
22. U. Ayala, T. Eftestøl, E. Alonso, U. Irusta, E. Aramendi, S. Wali, and J. Kramer-Johansen, "Automatic detection of chest compressions for the assessment of CPR-quality parameters," Resuscitation, vol. 85, no. 7, pp. 957-963, Jul. 2014.
23. J. Ruiz, U. Irusta, S. Ruiz de Gauna, and T. Eftestøl, "Cardiopulmonary resuscitation artefact suppression using a Kalman filter and the frequency of chest compressions as the reference signal," Resuscitation, vol. 81, no. 9, pp. 1087-1094, Sep. 2010.
24. U. Irusta, J. Ruiz, S. Ruiz de Gauna, T. Eftestøl, and J. Kramer-Johansen, "A least mean-square filter for the estimation of the cardiopulmonary resuscitation artifact based on the frequency of the compressions," IEEE Trans. Biomed. Eng., vol. 56, no. 4, pp. 1052-1062, Apr. 2009.
25. B. Widrow, J. R. Glover, J. M. McCool, J. Kaunitz, C. S. Williams, R. H. Hearn, J. R. Zeidler, E. Dong Jr., and R. C. Goodlin, "Adaptive noise cancelling: Principles and applications," Proc. IEEE, vol. 63, no. 12, pp. 105-112, Dec. 1975.
26. Y. Xiao and Y. Tadokoro, "LMS-based notch filter for the estimation of sinusoidal signals in noise," Signal Process., vol. 46, no. 2, pp. 223-231, Oct. 1995.
27. S. M. Kay and S. L. Marple, "Spectrum analysis - A modern perspective,"Proc. IEEE, vol. 69, no. 11, pp. 1380-1419, Nov. 1981.
28. S. L. Marple Jr., "Corrections to "Spectrum analysis - A modern perspective,"Proc. IEEE, vol. 70, no. 10, pp. 1238, Oct. 1982.
29. D. A. Linkens, "Short-time-series spectral analysis of biomedical data,"Proc. IEE, vol. 129, no. 9, pp. 663-672, Dec. 1982.
30. S. G. Fleming and L. Tarassenko, "A comparison of signal processing techniques for the extraction of breathing rate from the photoplethysmogram,"Int. J. Biol. Med. Sci., vol. 1, no. 6, pp. 232-236, Oct. 2007.
31. S. S. Haykin, Ed., Nonlinear Methods of Spectral Analysis. New York, NY, USA: Springer-Verlag, 1979.
32. H. J. J. Wellens, K. I. Lie, and D. Durrer, "Further observations on ventricular tachycardia as studied by electrical stimulation of the heart: Chronic recurrent ventricular tachycardia and ventricular tachycardia during acute myocardial infarction," Circulation, vol. 49, no. 4, pp. 647-653, Apr. 1974.
33. M. J. Hinich, "Detecting a hidden, periodic signal when its period is unknown," IEEE Trans. Acoust., Speech, Signal Process., vol. ASSP-30, no. 5, pp. 747-750, Oct. 1982.
34. T. Nordseth, D. P. Edelson, D. Bergum, T. M. Olasveengen, T. Eftestøl, R. Wiseth, J. T. Kvaløy, B. S. Abella, and E. Skogvoll, "Optimal loop duration during the provision of in-hospital advanced life support (ALS) to patients with an initial non-shockable rhythm," Resuscitation, vol. 85, no. 1, pp. 75-81, Jan. 2014.
35. R. Wijshoff, T. van der Sar, R. Aarts, P. Woerlee, and G. Noordergraaf, "Potential of photoplethysmography to guide pulse checks during cardiopulmonary resuscitation: Observations in an animal study," Resuscitation, vol. 84, pp. S1-S7, Oct. 2013.
36. J. Osorio, D. J. Dosdall, R. P. Robichaux, P. B. Tabereaux, and R. E. Ideker, "In a swine model, chest compressions cause ventricular capture and, by means of a long-short sequence, ventricular fibrillation," Circulation., Arrhythmia Electrophysiol., vol. 1, no. 4, pp. 282-289, Oct. 2008.
37. J. Osorio, D. J. Dosdall, P. B. Tabereaux, R. P. Robichaux, S. Stephens, J. D. Kerby, R. E. Stickney, S. Pogwizd, and R. E. Ideker, "Effect of chest compressions on ventricular activation," Amer. J. Cardiol., vol. 109, no. 5, pp. 670-674, Mar. 2012.
38. R. W. Koster, "Refibrillation during out-of-hospital arrest: A frequent event with clinical consequences," Signa Vitae, vol. 5, no. Suppl 1, pp. 66-68, 2010.
39. J. Berdowski, J. G. P. Tijssen, and R. W. Koster, "Chest compressions cause recurrence of ventricular fibrillation after the first successful conversion by defibrillation in out-of-hospital cardiac arrest," Circulation. Arrhythmia Electrophysiol., vol. 3, no. 1, pp. 72-78, Feb. 2010.
40. A. Shiyovich, A. Gerovich, and A. Katz, "Recurrence of ventricular fibrillation after successful conversion, may be associated with immediate post-shock chest compressions: A case report," Brit. J. Med. Med. Res., vol. 3, no. 3, pp. 722-726, Feb. 2013.
41. R. D. Branson and P. D. Mannheimer, "Forehead oximetry in critically ill patients: The case for a new monitoring site," Respir. Care Clin. North Amer., vol. 10, no. 3, pp. 359-367, Sep. 2004.